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Individual

MR. DEREK DENHOW PAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
10201 66TH RD, FOREST HILLS, NY 11375-2029
(718) 830-4359
Mailing address
70 W 37TH ST APT 1706, NEW YORK, NY 10018-7458
(562) 686-7118

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
313642
NY
208M00000X
Hospitalist Physician
Primary
313642
NY

Other

Enumeration date
04/02/2019
Last updated
11/13/2024
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